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Cerebral Palsy Grows Up

  • Mark D. Peterson
    Correspondence
    Correspondence: Address to Mark D. Peterson, PhD, MS, Department of Physical Medicine and Rehabilitation, University of Michigan Medicine, 325 E. Eisenhower Parkway, Suite 300, Ann Arbor, MI 48108.
    Affiliations
    Department of Physical Medicine and Rehabilitation, Michigan Medicine, University of Michigan, Ann Arbor, MI

    Institute for Healthcare Policy and Innovation, Michigan Medicine, University of Michigan, Ann Arbor, MI
    Search for articles by this author
  • Edward A. Hurvitz
    Affiliations
    Department of Physical Medicine and Rehabilitation, Michigan Medicine, University of Michigan, Ann Arbor, MI
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Published:January 12, 2021DOI:https://doi.org/10.1016/j.mayocp.2020.10.006
      Childhood-onset disabilities are a group of congenital or acquired chronic conditions that originate during pregnancy or infancy, and comprise impairments in physical, intellectual, and/or behavioral function. Worldwide, these disabilities are some of the most common lifetime medical conditions (eg, prevalence of cerebral palsy [CP] is roughly 3 per 1000 live births). Evidence demonstrates that the number of adults who live with CP and other childhood-onset disabilities is increasing, and that they experience significant physical and mental health inequalities as they grow up.
      • Whitney D.G.
      • Warschausky S.A.
      • Ng S.
      • Hurvitz E.A.
      • Kamdar N.S.
      • Peterson M.D.
      Prevalence of mental health disorders among adults with cerebral palsy: a cross-sectional analysis.
      • Ryan J.M.
      • Peterson M.D.
      • Matthews A.
      • et al.
      Noncommunicable disease among adults with cerebral palsy: a matched cohort study.
      • Peterson M.D.
      • Ryan J.M.
      • Hurvitz E.A.
      • Mahmoudi E.
      Chronic conditions in adults with cerebral palsy.
      As a result, they have lower quality of life and are at risk for dying at younger ages — often from undiagnosed, preventable, noncommunicable diseases.
      • O'Connell N.E.
      • Smith K.J.
      • Peterson M.D.
      • et al.
      Incidence of osteoarthritis, osteoporosis and inflammatory musculoskeletal diseases in adults with cerebral palsy: a population-based cohort study.
      Specifically, having CP may increase the risk for secondary health conditions that are causally linked to impairments (eg, muscle spasticity and chronic pain), or occurs as an indirect consequence of the disability itself (eg, lack of physical activity and related conditions such as hypertension). Consequently, there is a need for approaching health care delivery for patients with CP within the context of a “life course health development model.”
      • Palisano R.J.
      • Di Rezze B.
      • Stewart D.
      • et al.
      Life course health development of individuals with neurodevelopmental conditions.

      Abbreviations and Acronyms:

      ACA (Affordable Care Act), CP (cerebral palsy)
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